SIOUXLAND COMMUNITY HEALTH CENTER
NPI: 1912378480
· SOUTH SIOUX CITY, NE 68776
· Federally Qualified Health Center (FQHC)
· NPI assigned 10/09/2015
$0.00
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PETERSON, CLARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
697 |
$0.00 |
| 2024 |
639 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
300 |
265 |
$0.00 |
| 1160F |
|
106 |
102 |
$0.00 |
| 1159F |
|
106 |
102 |
$0.00 |
| 3078F |
|
57 |
56 |
$0.00 |
| 4274F |
|
13 |
13 |
$0.00 |
| 2001F |
|
129 |
125 |
$0.00 |
| 1036F |
|
51 |
49 |
$0.00 |
| 3008F |
|
130 |
125 |
$0.00 |
| 2010F |
|
135 |
131 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114 |
107 |
$0.00 |
| 2000F |
|
96 |
92 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$0.00 |
| 3074F |
|
61 |
60 |
$0.00 |
| 3351F |
|
12 |
12 |
$0.00 |